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Burch procedure Burch procedure

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  #1  
Unread 11-08-2010, 06:31 PM
Burch procedure

Has anyone had the Burch procedure or know anyone that has? I am looking for an alternative to mesh with my cysocele repair with my LAVH. Is anyone else scheduled to have a cystocele repair with an LAVH and no bladder sling?
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  #2  
Unread 11-17-2010, 11:01 PM
Re: Burch procedure

jerl--

After I had my eroding mesh taken out, I had my anterior prolapse (also called: bladder lift or cystocele) repaired using only stitches in what is often called a regular anterior colporrhaphy. The Burch RPU (retropubic urethropexy) is a procedure where the top of the vagina is fixed to a ligament on the pubic bone with just stitches also either through the abdomen or using a laparoscope. (See our PF&BI Glossary).

It seems to me that both of these procedures are a good alternative to using mesh. You can also use your own tissue which is called 'autologous' tissue but your doctor has to be very skilled in that kind of sling creation.

I hope you find the best solution for you.

  #3  
Unread 11-18-2010, 12:20 PM
Re: Burch procedure

Thank you for your reply. Do you mind if I ask you if your SI was worse by cystocele repair without suspension? I really dont mind the SI that I have now but the cystocele is uncomfortable. The new doc that I am meeting with will discuss paravaginal repair and the Burch. He is the only doc in the area that still does the Burch although he does mesh also which I dont want. My cousin had several mesh removals. I would like to take a conservative approach with my LAVH but I also think it is an opportunity to have the Burch given the lap. However the Burch can have complications and I hate to risk it if my cystocele could just be repaired. So confused...but really good to hear from someone.
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  #4  
Unread 11-18-2010, 04:32 PM
Re: Burch procedure

Well, I can't really speak to that since I also had a TOT put in at the same time (which I would NOT do again since it is also made of mesh). The TOT caused me to have urge incontinence for about 6 months afterwards and that was not pleasant at all.

I don't know that a simple paravaginal repair is all that effective at stopping SUI by itself. I think the suburethral slings--and they do NOT have to be out of polypropylene mesh, they can be made of autologous tissue also--are more effective for that particular issue. You can check on some of these statistics at pubmed.gov (my favorite source).

Since the cystocele is your most pressing problem, it seems like it's most important to get that taken care of.

  #5  
Unread 11-19-2010, 11:10 PM
Re: Burch procedure

Have cysteole that is causing me back pain and buttock pain and pelvic pain, do you think this would be the best procedure for this some urge incontinence not alot, hope you can advise on whats the best method, tired of all this and need a doctor that really know what hes doing. I hope you can help. Thanks
  #6  
Unread 12-11-2010, 09:26 PM
Re: Burch procedure

Does anyone know about success rate of Burch laproscopy vs Gynecare Prolife mesh procedure to repair vaginal prolapse (cystocele, rectocele, incontinence? I read the FDA warning about the mesh re erosion, infection, pain, etc. and I am losing confidence and might want to go the Burch route. I also read that the Burch procedure can be done vaginally via laproscopy which is much less invasive than abdominal surgery. Any success or complication stories or warnings? I would appreciate it since my surgery (partial hysterectomy with ovaries + prolapse repair) is scheduled in 5 weeks. I have confidence in my doctor, but I don't understand why he is promoting the "mesh" over a traditional Burch procedure.
  #7  
Unread 12-11-2010, 10:02 PM
Re: Burch procedure

I had bladder sling - without mesh. Tell your doctor you DO NOT WANT mesh because there are other alternatives.
  #8  
Unread 12-11-2010, 10:42 PM
Re: Burch procedure

the doc used porcine material on me, i don't know much about it though, he would not use mesh because of all the problems, i had urge before surgery and do not have it now, but i have some other bladder problem that has developed since my surgery plus a bit of stress incontinence which i did not have before my surgery and was afraid i would get......sigh and now i do have it.
  #9  
Unread 12-18-2010, 09:29 PM
Re: Burch procedure

I just had surgery 12/11 to remove a mesh sling and have my bladder suspended using the Burch procedure.

Let me know if you are still considering surgery and if you have further questions.

Debbie
  #10  
Unread 12-20-2010, 07:24 PM
Re: Burch procedure

I hope you are feeling much better with this procedure (Burch) don't know the complete name, could you advise on what type of doctor to go see for this method. Also, what is the full name. How long was the surgery and how long off of work. Thanks
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